Possible role of ECMO in multiorgan failure and prolonged CPR: Aluminum Phosphide poisoning (CASE REPORT)

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DALIRI MAHDI; AMIN AHMAD; TOTONCHI ZIAE; SCHMITTO JAN; NADERI NASIM; YADOLLAHI MONA; HOSSEINI SAEID

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Journal Paper

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Journal: Asia Pacific Journal of Medical Toxicology Year:2020 | Volume:9 | Issue:4 Page(s): 154-158

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Title

Possible role of ECMO in multiorgan failure and prolonged CPR: Aluminum Phosphide poisoning (CASE REPORT)

Author(s)

Keywords

Aluminum Phosphide

COVID-19

Extracorporeal Membrane Oxygenation

poisoning

Abstract

Introduction: Aluminum Phosphide (ALP) is one of the most common causes of poisoning. Also, it is commonly used to attempt suicide. Extracorporeal Membrane Oxygenation (ECMO) is a therapeutic method that supports the function of the heart and lungs, giving body enough time for detoxification and organ function improvement; therefore, management of the problem using ECMO is critical in these patients and increases the survival chance. Moreover, the impact of COVID-19 on the treatment course during the COVID-19 pandemic and the patients' involvement and contact with the virus is a critical issue with unknown consequences. Case presentation: The patient was an 18-year-old girl who was hospitalized due to the poisoning aluminum phosphate. The ECMO was connected to the patient during CPR. Then, the patient was transported to a specialized healthcare facility. At the time of arrival, the EF (Ejection Fraction) was less than 5%. During the course of poisoning, the patient developed ARDS, fulminant hepatitis, massive gastrointestinal and vaginal bleeding, and septicemia. The ECMO was weaned on day 5 when the EF was reported 55%. In the following, the general and pulmonary conditions of the patient exacerbated when she was suspected of having COVID-19. The necessary therapeutic measures were done and finally, the patient was discharged after 45 days. Conclusion: ECMO is a useful therapeutic procedure in ALP poisoned patients. In case of careful management, it can be used in multiple organ involvement and prolonged PCR. Considering the COVID-19 pandemic, it is very important to notice the chance of COVID-19 infection in ICU during treatment.

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APA: Copy

DALIRI, MAHDI, AMIN, AHMAD, TOTONCHI, ZIAE, SCHMITTO, JAN, NADERI, NASIM, YADOLLAHI, MONA, & HOSSEINI, SAEID. (2020). Possible role of ECMO in multiorgan failure and prolonged CPR: Aluminum Phosphide poisoning (CASE REPORT). ASIA PACIFIC JOURNAL OF MEDICAL TOXICOLOGY (APJMT), 9(4), 154-158. SID. https://sid.ir/paper/666842/en

Vancouver: Copy

DALIRI MAHDI, AMIN AHMAD, TOTONCHI ZIAE, SCHMITTO JAN, NADERI NASIM, YADOLLAHI MONA, HOSSEINI SAEID. Possible role of ECMO in multiorgan failure and prolonged CPR: Aluminum Phosphide poisoning (CASE REPORT). ASIA PACIFIC JOURNAL OF MEDICAL TOXICOLOGY (APJMT)[Internet]. 2020;9(4):154-158. Available from: https://sid.ir/paper/666842/en

IEEE: Copy

MAHDI DALIRI, AHMAD AMIN, ZIAE TOTONCHI, JAN SCHMITTO, NASIM NADERI, MONA YADOLLAHI, and SAEID HOSSEINI, “Possible role of ECMO in multiorgan failure and prolonged CPR: Aluminum Phosphide poisoning (CASE REPORT),” ASIA PACIFIC JOURNAL OF MEDICAL TOXICOLOGY (APJMT), vol. 9, no. 4, pp. 154–158, 2020, [Online]. Available: https://sid.ir/paper/666842/en

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